Provider Demographics
NPI:1376737841
Name:THOMAS JOSEPH MORGAN, D.O., P.C.
Entity Type:Organization
Organization Name:THOMAS JOSEPH MORGAN, D.O., P.C.
Other - Org Name:FAMILY MEDICINE OF SOUTHEAST TULSA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-492-3405
Mailing Address - Street 1:5404 E 104TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-6025
Mailing Address - Country:US
Mailing Address - Phone:918-298-8427
Mailing Address - Fax:918-298-2663
Practice Address - Street 1:7901 S SHERIDAN RD UNIT D
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-8902
Practice Address - Country:US
Practice Address - Phone:918-492-3405
Practice Address - Fax:918-492-7919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2803207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE70378Medicare UPIN